Active NPI
Angel Lee, OTR
- Occupational Therapist
- Bayside, NY
National Provider Identifier
1548695513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13765
- Practice address
- 4324 212TH St
Bayside, NY 11361-2851 - Phone
- (347) 493-9267
- NPI assigned
- Sep 10, 2013
- Last updated
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 13765 | CA | Primary |
Addresses
Primary practice location
4324 212TH St
Bayside, NY 11361-2851
Mailing address
4324 212TH St
Bayside, NY 11361-2851
Phone (347) 493-9267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13765 | Other | CA | BOARD OF OCCUPATIONAL THERAPY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13765 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1548695513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 212TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612851",
"telephone_number": "347-493-9267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 212TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612851",
"telephone_number": "347-493-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ANGEL",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF OCCUPATIONAL THERAPY",
"identifier": "13765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.